التفاصيل البيبلوغرافية
| العنوان: |
Academic detailing to increase colorectal cancer screening by primary care practices in Appalachian Pennsylvania |
| المؤلفون: |
Curry, William J, Lengerich, Eugene J, Kluhsman, Brenda C, Graybill, Marie A, Liao, Jason Z, Schaefer, Eric W, Spleen, Angela M, Dignan, Mark B |
| بيانات النشر: |
BioMed Central Ltd. |
| سنة النشر: |
2011 |
| المجموعة: |
BioMed Central |
| الوصف: |
Background In the United States, colorectal cancer (CRC) is the third most frequently diagnosed cancer and second leading cause of cancer death. Screening is a primary method to prevent CRC, yet screening remains low in the U.S. and particularly in Appalachian Pennsylvania, a largely rural area with high rates of poverty, limited health care access, and increased CRC incidence and mortality rates. Receiving a physician recommendation for CRC screening is a primary predictor for patient adherence with screening guidelines. One strategy to disseminate practice-oriented interventions is academic detailing (AD), a method that transfers knowledge or methods to physicians, nurses or office staff through the visit(s) of a trained educator. The objective of this study was to determine acceptability and feasibility of AD among primary care practices in rural Appalachian Pennsylvania to increase CRC screening. Methods A multi-site, practice-based, intervention study with pre- and 6-month post-intervention review of randomly selected medical records, pre- and post-intervention surveys, as well as a post-intervention key informant interview was conducted. The primary outcome was the proportion of patients current with CRC screening recommendations and having received a CRC screening within the past year. Four practices received three separate AD visits to review four different learning modules. Results We reviewed 323 records pre-intervention and 301 post-intervention. The prevalence of being current with screening recommendation was 56% in the pre-intervention, and 60% in the post-intervention (p = 0. 29), while the prevalence of having been screened in the past year increased from 17% to 35% (p < 0.001). Colonoscopies were the most frequently performed screening test. Provider knowledge was improved and AD was reported to be an acceptable intervention for CRC performance improvement by the practices. Conclusions AD appears to be acceptable and feasible for primary care providers in rural Appalachia. A ceiling ... |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| العلاقة: |
http://www.biomedcentral.com/1472-6963/11/112Test |
| الإتاحة: |
http://www.biomedcentral.com/1472-6963/11/112Test |
| حقوق: |
Copyright 2011 Curry et al; licensee BioMed Central Ltd. |
| رقم الانضمام: |
edsbas.1B81C4EC |
| قاعدة البيانات: |
BASE |
